Organization
STEVEN P. GORDON, OD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN PAUL GORDON O.D. (PRESIDENT)
(440) 461-3796
Entity
Organization
Contact information
Practice address
691 RICHMOND RD, RICHMOND HEIGHTS, OH 44143-2990
(440) 461-3796
Mailing address
691 RICHMOND RD, RICHMOND HEIGHTS, OH 44143-2990
(440) 461-3796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5039
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2167695
—
OH
Enumeration date
04/26/2007
Last updated
10/15/2010
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